Vì sao công tác mua sắm và bảo trì thiết bị y tế lại khó khăn ?
Hiện nay, nhiều trưởng phòng quản lý bảo trì vật tư, trang thiết bị y tế của nhiều bệnh viện ở TPHCM mang tâm trạng lo lắng, hoang mang với công việc “rất nhạy cảm” được giao.
Trong Chương trình “Lắng nghe và trao đổi với nhân viên y tế” của Sở Y tế TPHCM chiều ngày 9/6, lãnh đạo sở đã gặp gỡ các nhân viên chuyên trách trong công tác mua sắm bảo trì vật tư, trang thiết bị y tế của các bệnh viện công lập trên địa bàn.
Qua trao đổi, Sở Y tế nhận định, một trạng thái tâm lý phổ biến nhất hiện nay của các trưởng phòng vật tư, trang thiết bị y tế ở các bệnh viện là lo lắng, thậm chí hoang mang với công việc được giao.
Các cán bộ phụ trách cung ứng vật tư y tế, mua sắm và bảo trì các trang thiết bị đều đứng giữa 2 yêu cầu chính đáng nhưng luôn đối nghịch nhau. Một mặt, phải lắng nghe và đáp ứng yêu cầu chuyên môn về việc có những vật tư, thiết bị y tế tốt nhất cho công tác chẩn đoán, điều trị và chăm sóc bệnh nhân. Nhưng mặt khác, phải tuân thủ yêu cầu của ban giám đốc bệnh viện, phải giải trình với các đoàn kiểm toán, thanh tra về xây dựng giá dự toán khi đấu thầu mua sắm, bảo trì để đảm bảo giá mua phải là giá thấp nhất.
Theo Sở Y tế, hành lang pháp lý, cụ thể là các thông tư hướng dẫn cho công tác này chưa thật sự đáp ứng các tình huống đa dạng, các yêu cầu từ thực tiễn. Do đó, tất cả cán bộ y tế chuyên trách hoạt động mua sắm, cung ứng, bảo trì trang thiết bị, vật tư y tế đều mong muốn sớm có những quy định pháp lý mới, giống như lĩnh vực mua sắm thuốc.
Trưởng phòng quản lý vật tư, trang thiết bị y tế của một bệnh viện chia sẻ, bản thân là bác sĩ, nếu được chọn vẫn thích làm chuyên môn hơn là công việc hiện tại. Nhưng vì trách nhiệm, chấp hành phân công của đơn vị nên bác sĩ này cùng các đồng nghiệp phải cố gắng hết sức làm sao để đúng quy định.
“Công việc hiện rất áp lực, đòi hỏi tôi phải đầu tư nhiều thời gian, kiểm tra, thẩm định hồ sơ thật kỹ… Mặc dù đã nghiên cứu kỹ, kiểm tra kỹ, nhưng thật sự tôi luôn lo lắng sợ sai mà không biết vì các hướng dẫn chưa bao phủ hết các tình huống trong thực tế…” – vị bác sĩ nói.
Sau khi lắng nghe tâm tư của các y bác sĩ, Sở Y tế TPHCM cho biết trong thời gian tới sẽ triển khai thực hiện các giải pháp nhằm tiếp tục đồng hành, tiếp sức cho các cơ sở y tế công lập tham gia công tác mua sắm và bảo trì các thiết bị, vật tư y tế.
Cụ thể, Sở sẽ tiếp tục kiến nghị Bộ Y tế và các Bộ, Ngành liên quan sớm ban hành các văn bản hướng dẫn chi tiết, cụ thể về quy trình xây dựng danh mục, cách lập dự toán, xây dựng cấu hình… để tạo hành lang pháp lý vững chắc, hạn chế tình trạng sai phạm trong công tác đấu thầu, mua sắm.
Sở cũng tham mưu trình UBND TPHCM đề án thành lập Trung tâm mua sắm tập trung. Trong đó, danh mục hàng hóa mua sắm tập trung thực hiện theo lộ trình thời gian vừa để hoàn thiện cơ chế về bảo trì thiết bị và mua sắm mới vừa đảm bảo không làm gián đoạn cung ứng thuốc, trang thiết bị, vật tư y tế phục vụ công tác khám, chữa bệnh.
Song song đó, Sở Y tế cũng xây dựng cơ cấu nhân lực với trình độ chuyên môn vừa đáp ứng nhu cầu chuyên môn, vừa đáp ứng yêu cầu tuân thủ các quy định pháp luật. Tăng cường công tác đào tạo, bồi dưỡng các kiến thức liên quan đến công tác đấu thầu, bảo dưỡng, mua sắm tại các cơ sở y tế công lập.
The Taoist Master from all directions was given as a gift to the Dadu Dragon Palace. The rank was not too high, it was just a magic weapon, but it Are Keto Plus ACV Gummies Legit: Uncovering the Truth Behind the Hyped Weight Loss Supplement
was cast and tempered by the Taoist Master himself, so it was of great significance.You can t do that, right Xiao Mi Li just grinned and didn t explain anything. Later, Bai Xuan talked about it a lot, but the millet grains still didn t bother him at all.
He took off his bamboo hat, cupped his fists and said with a smile, Junior Chen Pingan, I have met Uncle Linli.It was really bad. There are only two ways for a person to be unsociable, one is to stand out from the crowd, and the other is to stand out from the crowd.
dare not say any words. It can be seen that there was first a ceremony at Zhengyang Mountain, and then the shocking identity of a hidden official spread throughout the mountains and rivers of a continent overnight through Di Bao, and the truth came to light.When they saw the green robed swordsman, they bowed and saluted each other, then Revolutionize Your Keto Journey with Keto ACV Gummies Sugar Free: A Game-Changing Supplement for Wei
looked at each other and smiled.
According to what Chen Ping an said before, the ancestral temple was asked to serve as the maid of the god.I am revisiting my old place and plan to take a sneak trip to Lou. Mountain, let s meet that Li Huai. I went to the Xiandu Mountain Ferry before.
Yang Zhi s eyes were strange. It really is I thought that this young hidden official just said something perfunctory.During the process of climbing to the top of the Ascension Platform, the two young sword cultivators both exited earlier than Sui Youyou.
There is another opportunity, otherwise you will have to give up in the Golden Core Realm in this life, so don t take it too seriously.He was very stubborn. Sun Deng smiled first, but still didn t explain anything. What Stores Sell Keto Gummies? Your Ultimate Guide to Finding the Best Supplements for a Keto Diet
After all, the Water Goddess is not a Jianghu person, and it is difficult to talk about real Jianghu talk with her.
Lu Chen put his fingers together, tapped the child s forehead lightly, and muttered something. It s like opening my eyes to this child. From this moment on, this rural orphan surnamed Ye may have officially embarked on the path of spiritual practice.How dare you mention the subordinate sect I just found it for myself. Down the stairs, he changed the name of his sect to sect early and named it Huangshan Sword Sect.
Anyway, the two senior brothers and sisters practice sword together almost all year round. Nianjiu said with emotion, I heard that Senior Sister Sui is already a Nascent Soul Realm sword cultivator.Lu Chen was not taboo about these anyway, otherwise, how could there be a White Bones True Man among the Seven Hearts of the Three Masters Someone was leaning against the Revolutionize Your Keto Journey with Keto Flow Gummy: A Comprehensive Review
kitchen door.
Fu Nanhua was familiar with Cai Jinjian, but he had never had any contact with that drunkard Huang Zhonghou, and they had never been in the same group.At this moment, Qing Tong s Taoist heart, which was on edge, had gradually returned to calm, and he joked in his heart No wonder this tiger has a green character in Revolutionize Your Keto Journey with K3 Spark ACV Gummies: Unlock the Power of Apple Cider Vinegar f
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Your friend Mr. Xin is amazing. He recognizes the Unleash the Power of Oprah's ACV Gummies: A Game-Changing Supplement for Optimal Health and Wellness
legendary dragon slaying man. Are the friends of friends considered my friends No need to do it, don t make it self defeating, opportunism is not allowed The worried Chen Lingjun turned his head and looked at the stupid girl sitting next to him.As an accomplished mountain qigong practitioner, she was not afraid of those scenes of corpses hanging with long swords, but she was afraid of the deep meaning behind this scene.
Ma Bi hurriedly put on his clothes Experience the Power of Bioscience Maximum Strength Keto Gummies: A Comprehensive Review
and got up, only to see torches lighting up the entire house. A group of vigorous figures wearing night clothes, with shining blades, entered The house, regardless of the reason, just kills anyone on sight with a knife in hand, but the women in the house will end up worse than death.
Ma Bi s shoulder was flattened with a knife, and his entire arm was chopped off. In an instant, blood poured out. Ma Bi staggered, just in time to see his brother Ma Chuan being stabbed in the crotch.Chen Ping an sat upright and said softly Dongshan. Cui Dongshan smiled brightly and hummed, and in an instant, there were three more people in the three empty chairs.
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practice in this life, sadly left Fengxue Temple.Xianwei was worried and once asked the mountain owner, The content of the couplet presented by the mountain owner is so powerful that even a poor man of low level may not be able to hold it back.
They were both wild sword cultivators. Gao Shuang s Taoist companion Ling Xun seemed to be in the Yupu realm now, but the one in Mei Gong The direct disciple is actually an Immortal Realm sword cultivator.Is it really appropriate At that Find Serenity in a Bottle: Discover the Benefits of Keto Calm Gummies for a Stress-Free Keto Lifesty
time, Chen Ping an smiled and refused. Word. The Xianwei refused to accept it, saying that it would be more appropriate to place it in the mountain master s study.
Therefore, Zhou Mi was just a show at the beginning, just to scare people, and his methods were probably not very clever at that time.This is enough to satisfy my eyes. What s more, they themselves knew what was going on, so Reveal the Secrets of Truly Keto Gummies: Unlocking Optimal Weight Loss and Energy
they went up the mountain to drink with Mr.
The Ma family is in trouble today. Please ask the Xue family for protection and help the Ma family to tide over the difficulties.Facing the enemy, Ma Kuxuan seemed to have regrets and said I have learned some boxing skills in the secular sense, but compared to you and Cao Ci, they are not relevant, so I put them aside.
Fortunately, he didn t hang his underpants to dry. On the bamboo pole in the grain drying field, the sound of books in the school was reciting, and the teacher was standing at the door.I have to refining my sword at night and sewing the Immortal Slaughter robe. A headache is a headache, it is better than falling.
Having seen the Zhou Mi TrimLab Keto ACV Gummies Reviews: Unlocking the Power of Keto and ACV for Fast and Sustainable Weigh
behind Ma Kuxuan before, he knew that he had to be cautious in this matter. If it turned out that Zhou Mi had left a trail in the world, the consequences would be disastrous.
In an instant, with a wave of his sleeve, a long knife on the ground poked a hole in Shen Ke s chest.Unfortunately, we were not in the same camp. In the end, Cui Chan thought that I was an old acquaintance with someone.
It was just that the relationship with Zhengyang Mountain had improved. Head Guo and the Bamboo Sect had explained all the misunderstandings clearly and won the victory for the Zhuzhi Sect.This real land man was responsible Ignite Your Keto Journey with Ignite Keto Gummy: A Revolutionary Weight Loss Solution
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Crazy, everyone seems to be crazy. The young man with blood splattered all over his body stood up and walked step by step towards Ma Bi, who was standing there helplessly waiting to die.It is better to go back than to wait here to die, life is worse than death. This time she ran very far and bumped into someone in the imperial garden.
let s see if I can fill up a big bowl, and drink it all in one gulp. It s a bit disgusting, Miss Gu Pei Qian grinned. Gu Lingyan, who was sitting alone by the brazier, held it in again and again, but still couldn t hold it back and burst out laughing, As long as my young master has no objection, of course I don t mind.
I didn t even know that Chongyang Temple s elixirs were so popular in the capital. Gu Lingyan squinted at the horizon and only saw the vision in general.Zhang Yujiao seemed to understand. Zhang Qiong asked curiously Mr. Chen, what should we do now Chen Ping an smiled and said It s not my habit to give up halfway.
This was because he was very conceited and valued this natal flying sword. Once it was smelted into Discover the Power of Apple Gummies for Weight Loss: A Game-Changing Supplement for a Healthier You
nothingness , even if he still has the next life to renew his fate as an immortal, to be able to enlighten himself and remember his previous life, and to climb mountains and practice Taoism again, it is destined that there will no longer be such a special and magical flying sword in the world.
His body was as fast as shrinking to the ground, and he was in front of Pei Qian in an instant. Pei Qian was still calm and calm, and he blocked the opponent s punch.In addition to his close friend Chen Zhuoliu, there are also several new friends he has just met. The old immortal Jinghao, the sword cultivator Baideng, Unlock the Power of Good Keto Gummies for Weight Loss: The Ultimate Guide
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and doesn t like to talk inside or outside the wine table.
He must be closely guarded and there must be no mistakes. The young prince nodded and was about to get up. After leaving the carriage, the old emperor was worried that he didn t understand the connection.The child s protector. As a result, the young man in white smiled and signed up, My surname is Cao Mingci.
The words of Taoist Master Xianwei speak to my heart. Ha, such a good truth, I want to close the door and get along well with it, but I can t let it sneak away.
Xianwei let out a sigh and tapped the palm of his hand with the scroll, Xiaomili s theory seems to be better.In the alley outside the restaurant, a young man in white clothes with a mole on his eyebrows came. He walked straight past the door with his sleeves rolled down.
If you are in such a situation, you can try to report to the Confucian Temple and start a sect. There is also a process similar to the selection of officials in the imperial court at the foot of the mountain.As expected of Ning Ji, he seems to be a boring gourd. Whenever he asks, the questions are always so tricky and big.
He put it in his mouth, stretched out his finger, and pointed at the big tree at the entrance of the mountain, Whether there are What are Keto Gummies Good For: Unlocking the Potential of Low-Carb Supplements
any signs of flowers blooming on this tree is a sign that Zhao Fuyang has broken through.Chen Ping an patted the young man s shoulder and said with a smile But I think that there may not be such formal expectations in choosing this name.
Some looked uncertain, some were livid, and some even apologized and said it was a misunderstanding. In short, it was just fun. Very. The only.
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lowered his sleeves and bent down, trying to help stop the piglets running all over the road.Since this fellow Taoist Plum Blossom dares to openly call himself the Master of Plum Blossoms, it s not like he was so cold to the bone that the plum blossoms smell so fragrant.
Of course, he deliberately kept part of the truth. He planned to test the founding disciple of the school and asked Do you think the crux of the existence of Hehuan Mountain is Where.The man sat up, twisted the Do Keto Plus ACV Gummies Work for Weight Loss? A Comprehensive Review
priceless wine glass in his hand, leaned forward, narrowed his eyes and smiled Little Taoist priest, this time Can you finally understand human language Lu Chen s face was filled with embarrassment for a moment.
There are also the sage of rites, Bai Yujing s great leader Kou Ming, and Longhu Mountain Celestial Master Zhao Tianlai.She will blame everyone and everyone, and she will always be depressed. On the road of her life, there are always two figures in front of her.
Chen Pingan also prepared some paper and pen and ink, including red paper that can be used to write Spring Festival couplets and the word Fu.Lu Chen said Thirty seven, I m three and you re seven Chen Ping an said firmly Let s go We, Baofengzhai, must learn more about Wei Shanjun s ways of making money, not to mention holding a few night banquets.
